NPI 1104509116
Clint Matthew Ward
Practice location
- Address
- 2650 E Broadview Ave, Wasilla, AK 99654-8302
- Phone
- (907) 631-3133
- Mailing address
- 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062
Registered specialties
Addiction (Substance Use Disorder) Registered Nurse
Primary
Registry record
- NPI
- 1104509116
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Aug 2023
- Record last updated
- 8 Aug 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.